Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, School of Health Sciences, University of South Australia , Adelaide , Australia.
The Biomechanics Lab , Adelaide , Australia.
J Sports Sci. 2019 Nov;37(22):2613-2624. doi: 10.1080/02640414.2019.1651582. Epub 2019 Aug 19.
Foot orthoses and insoles are prescribed to runners, however their impact on running economy and performance is uncertain. The aim of this systematic review and meta-analysis was to determine the effect of foot orthoses and insoles on running economy and performance in distance runners. Seven electronic databases were searched from inception until June 2018. Eligible studies investigated the effect of foot orthoses or insoles on running economy (using indirect calorimetry) or running performance. Standardised mean differences (SMDs) were computed and meta-analyses were conducted using random effects models. Methodological quality was assessed using the Quality Index. Nine studies met the criteria and were included: five studies investigated the effect of foot orthoses on running economy and four investigated insoles. Foot orthoses were associated with small negative effects on running economy compared to no orthoses (SMD 0.42 [95% CI 0.17,0.72] p = 0.007). Shock absorbing insoles were also associated with negative effects on running economy, but an imprecise estimate (SMD 0.26 [95% CI -0.33,0.84] p = 0.83). Quality Index scores ranged from 4 to 15 out of 17. Foot orthoses and shock absorbing insoles may adversely affect running economy in distance runners. Future research should consider their potential effects on running performance.
足部矫形器和鞋垫被开给跑步者使用，但其对跑步经济性和表现的影响尚不确定。本系统评价和荟萃分析旨在确定足部矫形器和鞋垫对长跑运动员跑步经济性和表现的影响。从创建到 2018 年 6 月，检索了七个电子数据库。合格的研究调查了足部矫形器或鞋垫对跑步经济性（使用间接测热法）或跑步表现的影响。使用随机效应模型计算标准化均数差（SMD）并进行荟萃分析。使用质量指数评估方法学质量。有 9 项研究符合标准并被纳入：5 项研究调查了足部矫形器对跑步经济性的影响，4 项研究调查了鞋垫。与无矫形器相比，足部矫形器对跑步经济性有较小的负面影响（SMD 0.42 [95%CI 0.17,0.72] p = 0.007）。减震鞋垫也与跑步经济性的负面影响有关，但估计不精确（SMD 0.26 [95%CI -0.33,0.84] p = 0.83）。质量指数评分范围从 17 分中的 4 分到 15 分。足部矫形器和减震鞋垫可能会对长跑运动员的跑步经济性产生不利影响。未来的研究应考虑它们对跑步表现的潜在影响。
